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<br />CITY OF L FO T EX
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<br />' F - r _ ~y.~Check het,e ,p if~.this is confu•mation
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<br />~ _ ~of order previously given to Vendor
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<br />i ' ~ ALEASE SUPPLY THE FULLO~i'ING 1\ZATERIALS ANDS OR SERVICES ' '~- - . ~ ` r - ~ ::
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<br />UNIT TO
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<br />- I_ cert~fy• that this Requisition is prop ~ded by, budget,. or~that necessary provisions have been ~riade for purchase by
<br />~ ~ Commission action on" •'-~ ~~`~ J Y ~ ,~ ~_~ - -~~ zr
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<br />f` I certify that there is a~ sufficient unencu-iibered balance in this account and'or-that necessary appropriation_lias been
<br />made in~accordance with the .City .Chartei: ~' '' - - - £ ~ ~;
<br />'NOTICE TO VENDOR: This :purchase' is hereby ~ approved. Please show'Purchase Order Number' on all ~nvoices''so
<br />~ .~ that payment will -not be delayed. Submit _ inr•oices _in duplicate so that one -copy may _ be,_returned ~ with payment
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<br />t ~_ _ ~ ~; ~' ~ Approved: ~ s.
<br />• - , - - ^ Y Director of Finance s ~ *- = -~'='?
<br />_ ~ECEIVING RECORD: ~ - _ t , ~~ '? L ~ fF~
<br />The above materials and,'or services have been received•accordmg to spec' ications JP~e " r ^ d. s " ~•
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